Provider Demographics
NPI:1376197988
Name:EDWARDS, RACHEL MARIE (PA-C)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:MARIE
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:MARIE
Other - Last Name:SIMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3035 S PARKER RD STE 562
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2901
Mailing Address - Country:US
Mailing Address - Phone:303-671-6110
Mailing Address - Fax:
Practice Address - Street 1:3035 S PARKER RD STE 562
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2901
Practice Address - Country:US
Practice Address - Phone:303-671-6110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-31
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant